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NPI 1497923445 · live from the CMS NPI Registry

Kathlyn R. Cook, M.D.

Family Medicine, Hospice and Palliative Medicine in Fayetteville, AR. National Provider Identifier 1497923445, active.

NPI record

NPI1497923445 Type 1 · individual
StatusActive
Primary specialtyFamily Medicine, Hospice and Palliative Medicine 207QH0002X
Practice location3215 N. North Hills Blvd., Fayetteville, AR 72703
Practice phone479-463-7102
Mailing addressPo Box 550, Lowell, AR 72745
EnumeratedFebruary 12, 2008
Last updatedJuly 21, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Internal Medicine207R00000XA102273 (CA)
Pediatrics, Hospice and Palliative Medicine2080H0002XE-9453 (AR)
Hospitalist208M00000XE-9453 (AR)
Family Medicine, Hospice and Palliative Medicine primary207QH0002XE-9453 (AR)
Family Medicine207Q00000XE-9453 (AR)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.